Middlesex to wit

The Information of Ann< no role > the Wife of John Roof< no role > now [..]
the Work house of and belonging to the Parish of [..]
in the said County of Middlesex taken upon Oath [..]
Ninth day of October 1769

This Informant upon her Oath saith That she [..]
of John Roof (gone from her) to whom she was married [..]
Church of Saint Mary le Bone Middlesex on or about the [..]
day of June which was in the Year of our Lord One thousand seven
hundred and fifty Four by whom she has two Children now living [..]
Sarah< no role > aged four Years and William< no role > aged Seven Months both with
Informant now in Chelsea Work house aforesaid And [..]
Saith That he the said John Roof lived in and rented [..]
Lane in Chelsea aforesaid for the Space of One Year at the [..]
Ten Pounds besides Taxes quitted the Same about Fifteen Months [..]
and hath not kept House rented Ten Pounds by the Year or paid any
Parish Taxes since as this Deponent ever heard and verily believes [..]
Informant further Saith That her said Husband John Roof [..]
and left this Informant and her said Children whereby they [..]
become chargeable to the Said Parish of Chelsea

Taken and Sworn the
Ninth Day of October
1769 Before me }
J: Miller

The Mark of
[mark]
Ann Roof